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H57.04

Billable

Mydriasis

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A condition where one or both pupils are abnormally large or dilated.

Coding Tips

  • •Document whether mydriasis is unilateral or bilateral and whether it is constant or intermittent
  • •Note any triggering factors such as light exposure, medications, or emotional responses

Code Hierarchy

└H57Other disorders of eye and adnexa└H57.0Anomalies of pupillary function└H57.04Mydriasis
└H57.04Mydriasis

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